OCD suture bridge fixation : live demonstration with suture anchors скачать в хорошем качестве

OCD suture bridge fixation : live demonstration with suture anchors

Best Treatment for OCD Best treatment for OCD lesion Best treatment of OCD lesion . Stable OCD OCD fixation with knotless navhors using vicryl sutures OCD Repair with vicryl Osteochondritis dissecans (OCD) is a condition that develops in joints, most often in children and adolescents. It occurs when a small segment of bone begins to separate from its surrounding region due to a lack of blood supply. As a result, the small piece of bone and the cartilage covering it begin to crack and loosen. The most common joints affected by osteochondritis dissecans are the knee, ankle and elbow, although it can also occur in other joints. The condition typically affects just one joint, however, some children can develop OCD in several joints. In many cases of OCD in children, the affected bone and cartilage heal on their own, especially if a child is still growing. In grown children and young adults, OCD can have more severe effects. The OCD lesions have a greater chance of separating from the surrounding bone and cartilage, and can even detach and float around inside the joint. In these cases, surgery may be necessary. Anatomy A joint is where the ends of bones meet, such as your knee, ankle, or shoulder joint. Healthy joints move easily because of a smooth, slippery tissue called articular cartilage. Cartilage covers and protects the ends of your bones where they meet to form a joint. The most common location of OCD is in the knee at the end of the femur (thighbone) Osteochondritis dissecans (OCD) is a joint disorder that primarily affects the knee, although it can occur in other joints. It involves a disruption in the blood supply to the bone and cartilage near a joint surface, leading to the separation of a piece of cartilage and underlying bone. Key points about Osteochondritis Dissecans: 1. *Symptoms:* Common symptoms include pain, swelling, and limited range of motion in the affected joint, typically the knee. It can sometimes cause locking or catching sensations during joint movement. 2. *Causes:* The exact cause is not always clear, but factors such as repetitive trauma, genetics, and vascular issues may contribute. It often affects adolescents who are active in sports. 3. *Diagnosis:* Diagnosis involves a combination of medical history, physical examination, and imaging studies such as X-rays, MRI, or CT scans to assess the extent of the lesion. 4. *Treatment:* Treatment options vary based on the size and stability of the lesion. Conservative measures include rest, physical therapy, and activity modification. In some cases, surgical intervention may be necessary to remove loose fragments or to stimulate the healing process. 5. *Rehabilitation:* Rehabilitation plays a crucial role in recovery, focusing on strengthening and improving joint function. Weight-bearing restrictions may be imposed initially. 6. *Prognosis:* The prognosis depends on the size and stability of the lesion, as well as the chosen treatment. With appropriate intervention, many individuals with OCD can resume normal activities. Osteochondritis dissecans (OCD) can be classified based on various factors, including the location, size, stability, and severity of the lesion. Several classification systems have been proposed to help describe and categorize OCD lesions, aiding in treatment decisions. One commonly used classification system is the system developed by the International Cartilage Repair Society (ICRS). Here's an overview of the ICRS classification for OCD lesions: ICRS Classification: *Grade 0:* *Normal:* No evidence of injury or abnormality. *Grade 1:* *Swelling:* Soft swelling without visible deformity. *Grade 2:* *Softening:* Articular surface softening or roughening. *Grade 3:* *Partial Thickness Defect:* Partial-thickness defect without exposed subchondral bone. *Grade 4:* *Full Thickness Defect:* *4A:* Small lesion (≤1.5 cm in diameter) *4B:* Medium lesion (1.5–2.5 cm in diameter) *4C:* Large lesion *Grade 5:* *Separated Articular Cartilage and Subchondral Bone:* *5A:* Stable *5B:* Unstable Modified Outerbridge Classification: This classification, commonly used for knee articular cartilage lesions, categorizes OCD lesions based on arthroscopic appearance: *Grade I:* *Softening* and swelling of the cartilage. *Grade III:* *Deep fissures* reaching the subchondral bone. *Grade IV:* *Exposed subchondral bone.* Location-Based Classification: Lesions can also be classified based on their location within the joint, such as medial or lateral femoral condyle, patella, or talus (in the